Ohio

Nursing Home Staffing Profile — 2025Q3

919 facilities67,027 residents3.73 avg HPRD

vs National Average

-0.16 HPRD

National avg: 3.90 · Ohio: 3.73

📋

Ohio ranks among the lower-performing states for nursing home staffing, with an average of 3.73 HPRD — 0.16 hours below the national average. Only 59.6% of facilities meet the CMS staffing benchmark of 3.48 HPRD, compared to 65.8% nationally. RN staffing averages 0.63 HPRD, with 23.4% of facilities meeting the 0.75 research recommendation.

3.73

Average Total HPRD

All nursing staff combined

▼ 0.16 vs national

0.63

Average RN HPRD

Recommended: 0.75

▼ 0.05 vs national

59.6%

Meet CMS Benchmark

548 of 919 facilities

15.4%

Avg Weekend Drop-off

Staffing reduction on Sat/Sun

4.8%

Avg Agency Staff

Contractor/temp worker hours

—

Had Zero-RN Days

Data unavailable

3.59

Median HPRD

50th percentile (less skewed by outliers)

F-Rated Facilities

Under 2.5 HPRD — critically understaffed

Grade Distribution

How Ohio's 919 facilities grade out

HPRD Distribution

Where facilities fall across the staffing spectrum

Staffing by Ownership Type

For-profit facilities consistently staff lower than non-profit and government-run homes

For-Profit

3.61

avg HPRD

777 facilities (85%)

Non-Profit

4.41

avg HPRD

129 facilities (14%)

Government

4.28

avg HPRD

13 facilities (1%)

💡 Non-profit facilities in Ohio average 0.80 more HPRD than for-profit ones — about 22% higher staffing.

▲ Best Staffed in Ohio

Top 5 by total nurse HPRD

A+

ADVANCED HEALTH CARE OF CINCINNATI

WOOSTER COMMUNITY HOSPITAL SNF

WESLEY WOODS AT NEW ALBANY

WINDSOR MEDICAL CENTER INC

NORTH CANTON

6.36 HPRD

RN: 1.18

▼ Most Understaffed in Ohio

Bottom 5 by total nurse HPRD

GARDEN COURT NURSING AND REHABILITATION CENTER

SHADY LAWN NURSING HOME

DANRIDGES BURGUNDI MANOR

YOUNGSTOWN

2.68 HPRD

RN: 0.62

⚖️

Compare Two Facilities Side by Side

Pick any two Ohio nursing homes and see how they stack up across every metric

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County Breakdown

Staffing metrics by county in Ohio — click a county to see individual facilities

Avg HPRD— total nurse hours per resident per day:≥ 3.48 meets federal benchmark,3.0–3.47 below benchmark,< 3.0 critically low

Meet Benchmark— share of facilities in the county at or above the 3.48 HPRD federal minimum:≥ 50%35–49%< 35%

County	Facilities ↓	Avg HPRD	RN HPRD	Meet Benchmark	Grades
▸Cuyahoga	93	3.74	0.59	54.8%	Mixed C/D
▸Hamilton	69	3.88	0.61	62.3%	Mixed C/B
▸Franklin	57	3.99	0.80	66.7%	Mixed B/C
▸Summit	43	3.61	0.55	46.5%	Mixed C/B
▸Montgomery	40	3.69	0.62	60.0%	Mixed C/B
▸Lucas	34	3.73	0.57	70.6%	Mixed D/C
▸Stark	33	3.78	0.60	63.6%	Mostly C
▸Mahoning	29	3.76	0.63	65.5%	Mostly C
▸Butler	25	3.94	0.57	76.0%	Mixed B/D
▸Lorain	19	3.69	0.61	79.0%	Mixed B/C
▸Trumbull	17	3.73	0.60	58.8%	Mixed C/D
▸Warren	16	4.07	0.62	87.5%	Mixed B/C
▸Clermont	15	4.03	0.73	80.0%	Mostly B
▸Wayne	14	3.79	0.65	57.1%	Mostly C
▸Lake	14	3.51	0.56	42.9%	Mixed B/C
▸Clark	13	3.77	0.68	61.5%	Mixed C/B
▸Wood	12	3.90	0.66	75.0%	Mixed C/B
▸Ashtabula	12	3.41	0.56	33.3%	Mostly C
▸Medina	12	3.73	0.70	83.3%	Mostly B
▸Allen	11	3.73	0.62	54.5%	Mixed B/C
▸Columbiana	11	3.64	0.67	45.5%	Mostly C
▸Scioto	11	3.60	0.52	36.4%	Mostly C
▸Greene	11	3.82	0.61	63.6%	Mostly C
▸Richland	10	3.33	0.53	20.0%	Mostly C
▸Fairfield	10	3.84	0.71	70.0%	Mixed C/B
▸Licking	10	3.81	0.70	60.0%	Mixed C/A
▸Belmont	10	3.49	0.62	50.0%	Mixed B/C
▸Tuscarawas	10	3.94	0.82	70.0%	Mixed B/A
▸Portage	10	3.77	0.63	80.0%	Mostly C
▸Sandusky	9	3.86	0.76	77.8%	Mostly B
▸Erie	8	3.73	0.63	62.5%	Mixed B/C
▸Geauga	8	3.85	0.65	62.5%	Mixed C/B
▸Delaware	8	4.02	0.77	87.5%	Mixed A/B
▸Washington	7	3.58	0.52	71.4%	Mixed B/C
▸Muskingum	7	3.47	0.50	42.9%	Mixed D/B
▸Auglaize	7	3.69	0.64	71.4%	Mostly B
▸Knox	7	3.81	0.71	42.9%	Mostly C
▸Huron	6	3.68	0.74	66.7%	Mixed B/A
▸Ross	6	3.36	0.66	33.3%	Mixed B/C
▸Darke	6	3.76	0.53	50.0%	Mixed C/B
▸Hancock	6	3.91	0.78	50.0%	Mixed C/A+
▸Jefferson	6	3.47	0.77	66.7%	Mostly B
▸Marion	6	3.43	0.46	66.7%	Mixed C/D
▸Mercer	6	3.48	0.65	50.0%	Mostly C
▸Miami	6	3.54	0.53	66.7%	Mixed B/C
▸Fulton	5	3.73	0.57	80.0%	Mostly D
▸Seneca	5	3.98	0.64	100.0%	Mostly B
▸Holmes	5	3.66	0.54	80.0%	Mixed B/C
▸Crawford	5	3.44	0.60	60.0%	Mostly B
▸Highland	5	3.13	0.45	20.0%	Mostly C
▸Ottawa	4	4.09	1.06	50.0%	Mixed C/A+
▸Pickaway	4	3.84	0.74	100.0%	Mixed B/A
▸Athens	4	3.23	0.70	25.0%	Mixed D/B
▸Clinton	4	3.77	0.92	50.0%	Mostly C
▸Shelby	4	3.54	0.53	25.0%	Mixed D/A
▸Jackson	4	3.40	0.47	25.0%	Mostly C
▸Lawrence	4	3.32	0.45	25.0%	Mostly C
▸Logan	4	3.42	0.72	50.0%	Mixed B/C
▸Ashland	4	4.38	0.71	75.0%	Mixed B/A+
▸Williams	4	3.43	0.53	50.0%	Mostly C
▸Brown	4	4.08	0.64	75.0%	Mixed C/A
▸Putnam	4	3.23	0.58	25.0%	Mixed C/B
▸Fayette	4	3.34	0.55	25.0%	Mixed C/B
▸Pike	3	3.74	0.62	66.7%	Mostly C
▸Carroll	3	4.00	0.82	100.0%	Mostly B
▸Champaign	3	3.40	0.44	33.3%	Mostly C
▸Coshocton	3	3.34	0.71	33.3%	Mostly C
▸Defiance	3	3.36	0.54	0.0%	Mostly C
▸Gallia	3	3.36	0.64	33.3%	Mostly C
▸Guernsey	3	4.21	1.02	33.3%	Mixed A+/C
▸Harrison	3	3.66	0.88	66.7%	Mostly B
▸Henry	3	3.80	0.70	100.0%	Mostly B
▸Morrow	3	3.57	0.60	33.3%	Mostly C
▸Perry	3	3.32	0.61	33.3%	Mixed B/C
▸Adams	3	3.40	0.51	33.3%	Mixed B/C
▸Preble	3	3.50	0.44	33.3%	Mixed B/C
▸Union	3	3.55	0.58	66.7%	Mixed B/C
▸Van Wert	3	3.60	0.63	66.7%	Mostly B
▸Morgan	2	3.45	0.43	50.0%	Mixed C/D
▸Hardin	2	3.60	0.38	50.0%	Mixed C/D
▸Wyandot	2	3.71	0.57	100.0%	Mixed B/C
▸Meigs	2	3.10	0.89	0.0%	Mixed C/D
▸Madison	2	3.21	0.45	0.0%	Mixed C/D
▸Paulding	2	3.41	0.65	0.0%	Mostly C
▸Monroe	2	3.55	0.79	50.0%	Mixed B/C
▸Vinton	1	3.28	1.09	0.0%	Mostly C
▸Noble	1	3.54	0.75	100.0%	Mostly B
▸Hocking	1	3.04	0.37	0.0%	Mostly D

HPRD Range in Ohio

The spread between best and worst staffed facilities

3.30

25th pctile

3.59

Median

3.97

75th pctile

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.